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C L O S L E R
Moving Us Closer To Osler
A Miller Coulson Academy of Clinical Excellence Initiative
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Creative Arts in Medicine
Connecting with Patients
Passion in the Medical Profession
Lifelong Learning in Clinical Excellence
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August 21, 2018 | 1 min read

Talking With Young Adult Patients About Alcohol

By Mike Fingerhood, MD, Johns Hopkins Medicine

Clinicians need to be vigilant to discuss alcohol use with patients and remember that the legal drug, alcohol, causes more morbidity and mortality than opioids.

May 25, 2018 | <1 min read

“The Secret of Quality is Love”

By Scott Wright, MD, Johns Hopkins Medicine

Connecting with patients, caring deeply, and remembering your sense of calling will bring joy and fulfillment to the practice of medicine.

September 16, 2024 | 3 min read

What healthcare professionals can learn from Clover, the death doula 

By Scott Wright, MD, Johns Hopkins Medicine

A novel reminded me about best practices in caring for the dying. “The Collected Regrets of Clover” repeatedly stressed to acknowledge the emotional complexities surrounding death and to never look away from someone’s pain. 

May 17, 2018 | 2 min read

How To Avoid Complacency in Diagnosis

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

Top tips to avoid complacency when faced with a common clinical presentation that may have an uncommon medical diagnosis.

July 26, 2018 | 1 min read

A Taste of Their Own Medicine

By Scott Wright, MD, Johns Hopkins Medicine

Videos spreading misinformation to patients, promoting unproven therapies, can spread like wildfire on social media. We are sharing another video to fight fire with fire.

June 16, 2021 | 1 min read

Why we Must Talk About E-cigarettes with Teen Patients

By Mike Fingerhood, MD, Johns Hopkins Medicine

Proactively counseling adolescents about the risks of e-cigarette use is essential. The message should acknowledge both the health implications and the pressures that they may feel from their peers.

July 10, 2024 | 2 min read

Lessons from earlier in life: bagging groceries 

By Laura Hanyok, MD, Johns Hopkins Medicine

The service industry principles I learned while working in a grocery store apply to medicine. These include prioritizing customer needs, actively listening, and appreciating colleagues. 

June 9, 2021 | 2 min read

How to Support Patients When Transitioning Back to “Normal”

By Laura Hanyok, MD, Johns Hopkins Medicine

As we move through phases of the pandemic, understanding patients’ goals and asking about their worries is paramount.

June 3, 2024 | 2 min read

Book review: “Everything I Know About Love” by Dolly Alderton 

By Scott Wright, MD, Johns Hopkins Medicine

This page-turner about friendship reminds readers that relationships are not easy and require sustained care and attention. In medicine and life, this can lead to meaningful and loyal bonds. 

May 4, 2021 | 1 min read

Love as a social determinant of health (archived 2021)

By Scott Wright, MD, Johns Hopkins Medicine

Many feel happier and healthier when feeling loved and sharing their love. Encouraging our patients to share love through meaningful personal relationships will improve their health and well-being.

May 15, 2024 | 2 min read

Removing barriers to physician mental health

By Laura Hanyok, MD, Johns Hopkins Medicine

Taking care of yourself by getting professional help when needed is essential to giving excellent patient care. You can also encourage coworkers to do the same. 

May 11, 2018 | <1 min read

Share A Story In One Tweet

By Scott Wright, MD, Johns Hopkins Medicine

Hope you’re as moved as we were by these touching short stories from both healthcare providers and patients.

July 30, 2018 | 1 min read

What’s a book club doing at a medical conference?

By Scott Wright, MD, Johns Hopkins Medicine

Join a book club or start a book club - in either your professional or personal context. You'll be glad you did!

September 9, 2020 | 1 min read

We’re All in This Together

By Mike Fingerhood, MD, Johns Hopkins Medicine

With the added stress caused by the pandemic, make an extra effort to screen your patients for anxiety and depression. Empathizing about shared concerns may facilitate patient expression.

A safe takeout meal for residents and fellows to pick up.

January 13, 2021 | 1 min read

How to Support Your Learners During a Pandemic

By Laura Hanyok, MD, Johns Hopkins Medicine

Listening to your trainees is always the first step in prioritizing their well-being and mitigating burnout. This is especially important during challenging times.

Dr. Wright's dog Lucy, out for a spring walk at the University of Virginia.

April 9, 2024 | 1 min read

Wagging tails and healing hearts 

By Gretchen Miller, Managing Editor, Scott Wright, MD, Johns Hopkins Medicine

If you or your patients are thinking about getting a pet, full encouragement; life is better with animals around. Pets generally improve mental well-being by offering unconditional love, reducing stress, and providing a sense of purpose. 

June 15, 2020 | 1 min read

Getting CLOSLER: A Note to Our Readers

By Margaret Chisolm, MD, Johns Hopkins Medicine, Scott Wright, MD, Johns Hopkins Medicine

For two years, CLOSLER has been stimulating healthcare professionals and trainees to reflect on giving exceptional care to every patient.

April 26, 2018 | 1 min read

Forming True Partnerships In Care: Listen To Your Patient

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

Reflecting on caring for a 12-year-old with a complex neurological condition, I was humbled by the parents’ definition of clinically excellent patient care.

February 7, 2024 | 2 min read

Vacations: a “how-to” guide 

By Laura Hanyok, MD, Johns Hopkins Medicine

Vacations have been shown to reduce burnout, but sometimes it can feel hard to take time off. Blocking vacation time at the start of the year and getting coverage in place early may help. 

"Facilitate finding new ways of having fun and staying busy. Recovery is not punishment."

April 3, 2018 | 1 min read

10 tips to support patients with a substance use disorder

By Mike Fingerhood, MD, Johns Hopkins Medicine

I’ve devoted my entire career to supporting patients with substance use disorders (SUD). Here are the top 10 tips that I’ve learned over the past few decades.

Encourage parents to support their teens in connecting with friends safely.

October 7, 2020 | 1 min read

CLOSLER Together

By Scott Wright, MD, Johns Hopkins Medicine

Discussing CLOSLER pieces in groups may yield more insights than simply reading on your own. Consider adding a discussion of a piece to your next staff, practice, or division meeting.

July 24, 2018 | 2 min read

Why I Attend My Patients’ Funerals

By Laura Hanyok, MD, Johns Hopkins Medicine

I try to go to my patients' funerals because they are profound and humbling experiences.

April 6, 2020 | 1 min read

Addiction Recovery During the Pandemic

By Mike Fingerhood, MD, Johns Hopkins Medicine

We are all stressed by the great uncertainty related to COVID-19, but for our patients with addiction, it is much greater. Check in with your patients and support them in finding healthy ways to cope.

January 4, 2024 | 1 min read

Searching for the solution

By Scott Wright, MD, Johns Hopkins Medicine

Improving clinical reasoning skills is a career-long journey where we feel like an expert one day and a novice the next. Commitment to growth and learning from mistakes are absolutely required.  

February 18, 2020 | 3 min read

4 negotiating tips from “Never Split the Difference”

By Scott Wright, MD, Johns Hopkins Medicine

We regularly negotiate with patients en route to shared decision making. Tips from Voss' book "Never Split the Difference" can improve your communications with patients.

December 13, 2023 | 1 min read

Micro-acts of joy 

By Laura Hanyok, MD, Johns Hopkins Medicine

Focusing on your own wellness doesn’t take a lot of time. A simple practice like listing three things you’re grateful for each day can reduce burnout. 

January 3, 2020 | 2 min read

Malcolm Gladwell’s “Talking to Strangers” Applied to Patient Care

By Scott Wright, MD, Johns Hopkins Medicine

Miscommunications are common, particularly with individuals that we don't know well. Five tips from Gladwell's "Talking to Strangers" are presented here that may be helpful when interacting with patients.

November 1, 2023 | 2 min read

Lean on me

By Laura Hanyok, MD, Johns Hopkins Medicine

Upon learning of my patient’s death, I called their spouse to offer support. Realizing my need to talk with someone, I turned to my colleague, who was able to help me refocus on giving excellent care to other patients.  

December 11, 2019 | <1 min read

Medication for Opioid Use Disorder

By Mike Fingerhood, MD, Johns Hopkins Medicine

Building a therapeutic relationship with people with substance use disorders is critical when supporting them on their journey to health.

September 27, 2023 | 1 min read

Guardrails And Ambulances 

By Mike Fingerhood, MD, Johns Hopkins Medicine

Over 100,000 Americans die every year from overdoses, and most are preventable. Discuss with patients and loved ones the dangers of having old prescription or counterfeit pills, as well as the importance of keeping naloxone on hand.

March 14, 2018 | 2 min read

The Power of Acknowledging Feelings

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

Recognizing and acknowledging feelings can diffuse a patient’s anxiety.

March 13, 2018 | 2 min read

Reading Your Patient and Changing Your Plan

By Mike Fingerhood, MD, Johns Hopkins Medicine

We usually already have an agenda set when we see patients. However, we have to be ready to improvise by reading the patient, and be open to changing our plan.

February 16, 2024 | 1 min read

Patients and politics

By Mike Fingerhood, MD, Johns Hopkins Medicine

Patient-initiated political statements may make healthcare professionals feel uncomfortable. Thoughtful strategies, like redirection, can keep the focus on patient care.

September 19, 2019 | 2 min read

The Importance of Partnering With Patients

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

What patients and families need is a clinician advocate who is available to listen, translate complex medical language, and support both the physical and mental health of the patient.

Parting gift for every customer—homemade pistachio granola.

August 7, 2023 | 3 min read

Insights from the book “Unreasonable Hospitality”  

By Scott Wright, MD, Johns Hopkins Medicine

Healthcare delivery is complex, and hospitality may not be prioritized. As individuals and teams, small changes in behavior may improve patient experience. 

August 5, 2019 | 2 min read

Training and Identity

By Laura Hanyok, MD, Johns Hopkins Medicine

What parts of yourself do you want to bring back into your life that you may have lost during residency?

July 19, 2023 | 3 min read

Tick Tock

By Laura Hanyok, MD, Johns Hopkins Medicine

Clinic visits are like the new Major League Baseball’s time limit for each pitch. Health professionals do their best to deliver excellent patient care while being aware of the clock.  

February 21, 2019 | 1 min read

Substance Use Disorders in Later Life

By Mike Fingerhood, MD, Johns Hopkins Medicine

Substance use disorders in older adults often go undiagnosed because screening is frequently overlooked. Key to supporting patients to make a change is developing rapport and trust.

"I've learned that keeping a vegetable garden is worth a medicine cabinet full of pills."-Lucy Beneventi

May 24, 2023 | 3 min read

An Email Chain That Made me Smile 

By Scott Wright, MD, Johns Hopkins Medicine

Each year of life has lessons to teach us. The insights in this piece may serve as a reminder to seek out advice from those who are older, and to make time for reflection. 

April 23, 2020 | 1 min read

Bibliotherapy

By Scott Wright, MD, Johns Hopkins Medicine

Happy World Book Day! Read more fiction to broaden your perspectives. If you've never listened to an audiobook, try it! It might just change your life!

July 6, 2018 | 1 min read

Music and Coffee

By Scott Wright, MD, Johns Hopkins Medicine

If you get the sense that one of your patients is isolated or alone, ask about their support network. If they have none, ask if they would like help in being connected to community resources.

December 26, 2018 | 1 min read

How to Ensure Patient Access During the Holidays

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

The holidays can be a stressful time for both patients and clinicians. Here are a few ideas to ensure stress-free access to care for patients, and tips for everyone to stay healthy and rested.

May 4, 2023 | 2 min read

The Power of Stories

By Flora Kisuule, MD, Johns Hopkins Medicine, Scott Wright, MD, Johns Hopkins Medicine

A recent grand rounds by Dr. Kimberly Manning illuminated how stories give meaning to why we do what we do.

June 28, 2019 | 1 min read

How to Improve Outpatient Handoffs

By Laura Hanyok, MD, Johns Hopkins Medicine

Consider performing outpatient handoffs and preparing patients when you will be away. This will make your time away easier for your covering colleagues and for your patients.

March 1, 2023 | 2 min read

Moving Past Debt 

By Laura Hanyok, MD, Johns Hopkins Medicine

With my student loans forgiven, financial pressures were substantially allayed. With this stress removed, I feel more focused on serving my patients.  

November 14, 2018 | 2 min read

How Clinicians can use “Wait, what?”

By Scott Wright, MD, Johns Hopkins Medicine

Asking good questions is fundamental for learning about our patients. Five great questions, assembled by University of Virginia President James Ryan, can help you to connect with, understand, and serve patients better.

January 25, 2023 | 2 min read

All in The Family

By Laura Hanyok, MD, Johns Hopkins Medicine

In my general internal medicine practice, I’ve learned that getting to know a patient’s family gives a unique window into their lives.  

October 17, 2018 | 1 min read

When?

By Scott Wright, MD, Johns Hopkins Medicine

Timing is everything! Daniel Pink's book, "When," will make you a believer!

January 18, 2023 | 2 min read

Finding a PCP

By Laura Hanyok, MD, Johns Hopkins Medicine

Finding a primary care physician can take time, but it’s worth it to find a personal physician for longitudinal care. Suggest patients ask their family and friends for PCP recommendations. 

February 12, 2019 | 6 min read

The Balancing Act: Learning to Thrive in Multipatient Environments

By Alim Pardhan, MD, McMaster University, Ken Van Dewark, MD, University of British Columbia, Teresa Chan, MD, McMaster University

We must ensure junior doctors can give one patient excellent care before asking them to balance caring for more than one patient.

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